Individual
TAYLOR LEE CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7911 MICHIGAN RD, INDIANAPOLIS, IN 46268-1915
(317) 956-6288
(317) 956-6289
Mailing address
2760 WOODWIND WAY, INDIANAPOLIS, IN 46268-4233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003012A
IN
Other
Enumeration date
09/14/2020
Last updated
11/24/2020
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